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NPI Code Detail

MEDICARE: RIVER WEST, L.P.

MEDICARE: RIVER WEST, L.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital399LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
261068OTHERBCBS

General Provider Information

NPI Number : 1609847284
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER WEST, L.P.
Provider Business Mailing Address
First Line : 2424 50TH STREET
Second Line : SUITE 303
City : LUBBOCK
State : TX
Zip : 79412
Country : US
Telephone Number : 502-253-0771
Fax Number :
Provider Business Practice Location Address
First Line : 59355 RIVER WEST DR
Second Line :
City : PLAQUEMINE
State : LA
Zip : 70764-6553
Country : US
Telephone Number : 225-687-9222
Fax Number :
Authorized Official
Title or Position : SENIOR VP, LICENSURE
Name : CHARLES J FULNER
Credential :
Telephone Number : 502-253-0771
Provider Enumeration Date : 01/31/2006
Last Update Date : 04/20/2008

Similar Medicare Providers

1225025471 — CARL W. SCHERER III, MD, APMC
Practice Location Address:
59355 RIVER WEST DR
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70764-6553
Practice Phone: 337-261-5151
Practice Fax:
1033106935 — DR. STEVEN E. LEE MD
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1417944380 — STEVEN E. LEE, MD, APMC
Practice Location Address:
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Practice Phone: 337-261-5151
Practice Fax:
1164493524 — RIVER WEST, L.P.
Practice Location Address:
59355 RIVER WEST DR
PLAQUEMINE, LA
70764-6553
Practice Phone: 225-687-9222
Practice Fax:
1194796565 — RIVER WEST, L.P.
Practice Location Address:
59355 RIVER WEST DR
PLAQUEMINE, LA
70764-6553
Practice Phone: 225-687-9222
Practice Fax:
1023044815 — DR. JOSEPH DEAN VALDEZ M.D.
Practice Location Address:
59335 RIVER WEST DR , SUITE C
PLAQUEMINE, LA
70764-6553
Practice Phone: 225-685-1052
Practice Fax: 225-985-1081

Directions to “RIVER WEST, L.P. ” Practice Location

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